• 제목/요약/키워드: Clinical result

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요추 추간판 탈출증의 재발에 관한 통계적 연구 (Clinical Study on Reattack of HIVD)

  • 이현;이병렬;신영일
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.44-52
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    • 2001
  • Objective : This study had been done to develop treatment and preventation on HIVD by using this result. Methods : To obtain this result, we examinated 51 case of patients who visit Dept. of Acupuncture and Moxibustion. Oriental Medical Hospital. Taejon University. diagnosed HIVD. Results : As a result of this examination, we detected the fact that reattack rate is 3.9% and it is important to exercise physically to prevent growing worse symptoms. And we develop further method of treatment to treat people more effectively. Detailed contents are as followed. Conclusion : We want to be put this knowledge to practical use on treating HIVD and think the study like this must be go on continuously.

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발아현미와 수종한약재 추출액의 스트레스 및 불안상태 개선 효과에 대한 임상연구 (A Clinical Trial about Anti-anxiety and Anti-stress Effect of a modified formula consisted with Several Herbs)

  • 김락형;장인수;김정연;송정모
    • 동의생리병리학회지
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    • 제17권6호
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    • pp.1533-1537
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    • 2003
  • This double-blind randomized clinical trial was performed to evaluate the anti-anxiety, anti-stress effect of a modified formula WS-01 consisted with several herbs(Jujubae Fructus. Longanae Arillus. Poria Cocos) and germinated rice. The extract of the formula was administered (p.o) to 24 students and placebo was to 23 students for 4 weeks. STAI-KYZ(Hahn. Hakjisa), ABR2000(Meridian, Korea), CBC, LFT, U/A were checked before and after the administration period. There was no difference between the STAI score of WS-01 and that of placebo group in first test. But the STAI state anxiety score was 5.33±7.33 reduced in WS-01 group and it was 0.52±6.42 increased in placebo group in second test. this result was significant stastically. 10 students in WS-01 group showed improving result, but only 1 student in placebo group showed improving result of ABR2000 test. The result of ABR2000 was analyzed with curve 2, Regulation 2, and graph 1,2,3, because those reflect central nerve system and stressful condition of the body. There was no significant result in first and second CBC, LFT, Urine test. The results of this clinical study suggest that WS-01 has anti-anxiety, anti-stress effect, and it could be applied to various conditions or disorders related with anxiety and stress.

임상간호사의 우울과 지각된 스트레스, 피로 및 분노간의 관계 (The Relationship between Depression, Perceived Stress, Fatigue and Anger in Clinical Nurses)

  • 이원희;김춘자
    • 대한간호학회지
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    • 제36권6호
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    • pp.925-932
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship between depression, perceived stress, fatigue and anger in clinical nurses. Method: A descriptive survey was conducted using a convenient sample. Data was collected by questionnaires from four hundred clinical nurses who worked at a university hospital. Radloff's CES-D for depression, Cohen, Kamarck & Mermelstein's Perceived Stress Scale, VAS for Fatigue, and Spielberger's STAXI for anger were used. The data was analyzed using the pearson correlation coefficient, students' t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Result: The depression of clinical nurses showed a significantly positive correlation to perceived stress(r=.360, p=.000), mental fatigue(r=.471, p=.000), physical fatigue(r=.350, p=.000), trait anger(r=.370, p=.000), anger-in expression(r=.231, p=.000), and anger-control expression(r=.120, p=.016). There was a negative correlation between depression and age(r=-.146, p=.003). The mean score of depression of nurses, 26, was a very high score and 40.8% of clinical nurses were included in a depression group. The main significant predictors influencing depression of clinical nurses were mental fatigue, trail anger, perceived stress, anger-in expression, and state anger, which explained about 32.7%. Conclusion: These results indicate that clinical nurses with a high degree of perceived stress, mental fatigue and anger-in expression are likely to be depressed.

간호학생의 간호이미지와 임상실습만족도 (Nursing Students' Image of Nurse and Satisfaction with Clinical Practice)

  • 이순희;김숙영;김정아
    • 간호행정학회지
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    • 제10권2호
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    • pp.219-231
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    • 2004
  • Purpose: This study was designed to identify the relationship between image of nursing and satisfaction with clinical practice of nursing students Method: A descriptive research design that examined relationship between image of nurse and satisfaction with clinical practice of nursing students was used for this study, All 350 subjects were obtained by convenience sampling from three nursing diploma programs. The data were collected using an self-reporting questionnaire from May 1st to 31st, 2003. Collected data were analysed on SPSS Win 11.0. Result: There is a significant relationship between image of nurse and satisfaction with clinical practice of nursing student. Classical image of nurse, older age, and satisfaction with nursing of nursing students were identified as the factors that influence significantly on their satisfaction with clinical practice. Conclusions: Nursing student is given a chance to prepare themselves be a nurse through well-structured clinical nursing practice. Therefore, it's important to enhance nursing students' image of nurse and satisfaction with nursing in order to enhance their satisfaction with clinical practice.

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ICH-GCP와 선진 각국의 GCP 비교 (Comparison of Current GCPs on the Basis of the Contents in ICH-GCP)

  • 박혜연
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1997년도 추계학술대회
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    • pp.57-74
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    • 1997
  • To make a proposal for the revision of KGCP, ICH Harmonized Tripartite Guideline for Good Clinical Practice, which is on the stage of worldwide implementation, was compared with current GCPs of tripartite countries of ICH, namely USA, Europe and Japan as well as Korea. On the basis of the classification in ICH GCP, comprehensive comparisons among the corresponding articles of 4 regions or countries were made in the order of IRB / IEC, Investigator, Sponsor and Clinical Trial Protocol. Based on the comparisons of the contents in ICH-GCP with those in current GCPs, major suggestions for the revision of current KGCP can be made as follows. Firstly, the function of IRB / IEC needs to be strengthened for the initiation and continuation of clinical trial. Current 2-step approval system of IRB / IEC and Health Authorities requires to be converted into the system similar to that of developed countries. Secondly, sponsor's obligation needs to be tightened to control and assure the quality of clinical trial. Inspection of regulatory authorities should be made to perform during and / or after clinical trial, when it is necessary. In other words, sponsor should be made to establish written Standard Operating Procedures (SOPs) for all aspects of clinical trial including monitoring to ensure that trials are conducted and data are generated, documented, and reported in compliance with the protocol, GCP, and the applicable regulatory requirement (s). Besides, the provision of ‘Quality Control and Quality Assurance’ should be added to the protocol to establish the credibility of the result of the clinical trial.

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학습계약에 기반한 자기주도 임상실습 운영사례 (Learning Contracts Based Self-Directed Clinical Practicum)

  • 김은정;조동숙
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.268-275
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    • 2012
  • Purpose: The purpose of this study was to implement and evaluate the learning contracts based self-directed learning in a final clinical placement for senior nursing students. Methods: This study was a case study and 82 senior nursing students at a university participated in a learning contract based practice placement. Data were collected from written learning contracts and questionnaires after a clinical practice. Results: The students' learning needs were knowledge, clinical skills, and attitudes frequently encountered in a ward in which clinical skills were most common. The students' formulated learning contracts were varied but most of them were basic and simple. A self-directed clinical course was beneficial and a satisfactory experience to senior students. There was an increase in the students' motivation in learning, confidence in own capability, and satisfaction with the use of the learning contract. Conclusion: Self-directed clinical practicum would result in a degree of attitude change in the students. This study suggests that learning contract based self-directed clinical practice is effective to improve learning satisfaction, confidence in own capability, and competency.

Characterization of the Serotyping and the Plasmid Profile of E. coli Isolated from Foods and Clinical Specimens

  • Hyo-Shun Kwak;Chong-Sam Lee
    • Animal cells and systems
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    • 제3권4호
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    • pp.399-405
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    • 1999
  • Characteristics of the food isolates and the clinical specimens isolates of E. coli harboring virulence factor and their correlations were analyzed. The predominant serogroup were 08 and 027 in the food isolates and 06 and 018 in the clinical isolates, respectively, showing the different patterns in serogrouping between them. In the test of antibiotic susceptibility, the food isolates were resistant to cephalothin, streptomycin, tetracycline and minocycline, and the clinical isolates were resistant to ampicillin, carbenicillin, streptomycin, cephalothin, trimethoprim/sulfamethoxazole, tetracyclino and minocycline, respectively. It shows that E.coli isolated from food sources and clinical specimens might be correlated. Plasmid profile in the food and clinical isolates showed wide diversity. Especially, large sized plasmid DNA such as 60 MDa, 90 MDa and 120 MDa were observed. The plasmid DNA (60 MDa) containing a gene encoding hemolysin was found in 43% of the food isolates and 35% of the clinical isolates. To study chromosomal homology, PFGE analysis was performed, showing different restriction patterns by Xbal. This result indicates that there were no genetic correlations between the foods and the clinical isolates.

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일 간호대학생의 스트레스, 우울, 대처방법과 임상실습 만족도 (Stress, Depression, Coping Styles and Satisfaction of Clinical Practice in Nursing Students)

  • 박현주;장인순
    • 한국간호교육학회지
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    • 제16권1호
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    • pp.14-23
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    • 2010
  • Purpose: The purpose of this study was to investigate the relationship among stress, depression, coping styles and satisfaction of clinical practice in nursing students. Method: Two hundred fifty-eight nursing college students in 1 city were selected by convenient sample. A questionnaire measured the level of stress, depression, coping styles and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Result: The mean score of stress was 2.82 (${\pm}.39$), depression was 19.23 (${\pm}7.70$), coping styles was 2.42 (${\pm}.42$), and satisfaction of clinical practice was 2.81 (${\pm}.41$). There were significant differences on four variables according to the satisfaction of a nursing major. Stress had a significant positive correlation with depression, and a negative correlation with problem focused coping and satisfaction of clinical practice. Depression had a significant negative correlation with satisfaction of clinical practice. Emotional focused coping had a significant positive correlation with depression, and problem focused coping had a significant negative correlation with depression. Conclusion: From the studies reviewed, one can expect a positive effect on decreasing stress and depression among nursing students when the nursing educators use counseling and instruction for clinical practice.

참여학습과 관찰학습의 실습만족도 및 임상수기술 (Satisfaction of Practice and Clinical Skill in Participation Learning and Observation Learning)

  • 신은주
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.195-207
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    • 2008
  • Objective: The purpose of this study was to compare satisfaction of practice and clinical skill in different participation learning and observation learning, and to offer the basic data to promote quality of nursing education. Method: The study used a quasi-experimental, nonequivalent control group post-test design. The subjects were 62 nursing students of K college in Jeonbuk, and the period of data gathering was limited from 19 Nov. 2006 to 30 Nov. 2006. Experience group was taught by hand-on education and control group was taught by conventional education. The instrument tools included self-efficacy, satisfaction of practice and clinical skill. The collected data were analyzed by SPSS-PC programme. Result: The results of this study were as follows: There was statistically a significance difference between the two group about satisfaction of practice(t=2.011 p=.043), and clinical skill(t=11.997, p=.000). Self-efficacy showed a significantly positive correlation with satisfaction of practice(r=.476, p=.000) and clinical skill(r=.178, p=.014). Also, satisfaction of practice showed a significantly positive correlation with clinical skill(r=.l82, p=.000). Conclusion: In conclusion, this study suggests that hand-on education is an effective learning method to nursing students. By utilizing hand-on education, makes nursing students plan self-directed nursing performance and improve their clinical skills.

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간호대학생들의 임상실습 스트레스, 자기효능감 및 자아존중감과의 관계 (The Relationship between Clinical Stress, Self-Efficacy, and Self-Esteem of Nursing College Students)

  • 황성자
    • 한국간호교육학회지
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    • 제12권2호
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    • pp.205-213
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    • 2006
  • Purpose: This study was to identify the relationship between clinical stress, self-efficacy, and self-esteem of nursing college students. Method: The data were collected from 172 nursing students in J city. Result: The average scores were; clinical stress 3.56/5, self-efficacy 3.52/5, and self-esteem 3.10/4. Clinical stress level was significantly different according to the general characteristics of clinical tutors(t=2.04, p=.043) and degree of clinical satisfaction(F=6.44, p=.002). Self-efficacy level was significantly different according to the general characteristics of school grade(t=2.29, p=.023) and degree of nursing major satisfaction(F=5.00, p=.008). Self-esteem level was significantly different according to the general characteristics of degree of clinical satisfaction(F=6.56, p=.002) and degree of nursing major satisfaction(F=14.22, p=.000). Self-efficacy level and self-esteem level showed a statistically significant but low positive correlation(r=.171, p=.05). Conclusion: A strategy for development of clinical stress management program is needed for nursing students.

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